NPI 1003437310

Jack Daniel Halligan, MD

Practitioner Pediatrics Physician Bronx, NY

Practice location

Address: 111 E 210th St, Bronx, NY 10467-2401
Phone: (718) 920-4321

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence MT220997 (PA)

Other Pediatrics providers in New York →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X Licence 325482 (NY)

Other Student in an Organized Health Care Education/Training Program providers in New York →

Registry record

NPI: 1003437310
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2020
Record last updated: 8 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.